Video Sessions Research Articles

Changes in Nature Conservation-Relevant Public Participation Processes Through Digitalization: The Case of Germany

The literature shows that limited research has been conducted on the changes induced by digital means in public participation processes on plans whose implementation could have an impact on nature conservation and landscape development. To contribute to closing this research gap, 15 expert interviews were conducted to shed light on the use of digital tools in public participation processes in Germany. The analysis examined potential changes in the quantity and diversity of participants, timing and duration of involvement, tone and content, and the influence of participation on decision-making. The experts’ experiences vary widely, and knowledge must still be consolidated. The findings suggest that using digital instruments can increase the number of participants and the variety of social groups they represent. Other factors, such as personal interest and implications or potential for conflict, are more crucial to participating. However, digital tools allow for easier participation at various stages of participation if all necessary information is provided online. The tone of the discussion appears to be significantly influenced by the specific digital tool used for participation; for example, a plenary video session may unfold in an orderly manner, but the concurrent chat discussion can become chaotic or even insulting without strict facilitation. Digital tools might increase public interest in planning processes and lead to a higher relevance of citizens’ opinions in decision-making. However, this does not necessarily impact its outcome, as various opinions can neutralize each other. Observing this development more intensively seems necessary to take advantage of opportunities and counteract digitalization risks. Nonetheless, it can be concluded that digital formats cannot and should not replace analog forms of participation; rather, both should be combined in hybrid forms.

Regulation Focused Psychotherapy for Children (RFP-C) with Externalizing Behaviors: Comparing the Successful Case of "Jack," and the Unsuccessful Case of "Oliver"

Regulation Focused Psychotherapy for Children (RFP-C) is a manualized, time-limited, psychodynamic approach for children who experience challenges with emotion regulation and demonstrate externalizing behavior problems (Hoffman et al., 2016). In research settings, it takes place over ten weeks and includes 16 sessions with the child and four with the child’s parents. This protocol can be extended or modified in regular clinical practice. The current study utilized a dual case study method to analyze pretreatment and post-treatment measures and compare psychotherapy outcomes and process in RFP-C between a successful and an unsuccessful case. Data examined included (a) quantitative outcome measures; (b) case conceptualizations and clinical vignettes drawn from review of session videos; (c) post-treatment interviews with parent, child, and therapist; and (d) psychotherapy process codings of child and parent sessions. These data were employed to (a) identify differential psychotherapy processes; (b) assess parental defense mechanisms; (c) assess parental attachment classifications; and (d) evaluate therapist countertransference ratings. Results indicated that many variables contributed to successful versus unsuccessful treatment outcomes, including but not limited to (a) the child’s spontaneity; (b) the child’s active participation and emotional expression throughout treatment; (c) themes of child play; (d) the therapist’s countertransference; (e) the child and parental defense mechanisms; and (f) the parental attachment styles. Taken together, findings from this study contribute to the literature on therapeutic outcomes for children and families and highlight some of the essential characteristics of successful psychotherapy process. Limitations of the study and directions for future research are also discussed.

Dynamic harmony: Unveiling therapeutic attunement in emotionally focused couples therapy via machine learning

AbstractObjectiveThe goals of the study were to examine therapists' and clients' emotional states and expressions in an emotionally focused therapy (EFT) couple session, to assess therapeutic attunement between the clients and the therapist, and to explore its alignment with EFT techniques.BackgroundTherapeutic attunement is crucial for fostering a therapeutic alliance in couples therapy, yet examining triadic relationships between therapist and partners is methodologically challenging. This case study introduces a novel computational social science approach to capture attunement in an EFT session.MethodA full‐length, publicly available EFT session video was analyzed. We generated text, audio, and image data for computerized tracking and conducted a multimodal analysis of emotions using mixture of experts machine learning models.ResultsSeven emotion states were analyzed: anger, fear, surprise, disgust, joy, sadness, and neutral. The results indicated a close alignment between the couple and the therapist's emotions, suggesting high attunement. Three types of attunement by timing were identified: on time, therapist initiated, and delayed. Attunement peaks aligned with EFT techniques.ConclusionHigh levels of therapeutic attunement, facilitated by EFT techniques, can be effectively captured and analyzed using machine learning.ImplicationsThis study highlights the feasibility of using machine learning to track attunement dynamics and aids therapists in exploring therapeutic ruptures.

Analysis of operant self-administration behaviors with supervised machine learning: Protocol for video acquisition and pose estimation analysis using DeepLabCut and Simple Behavioral Analysis (SimBA).

The use of supervised machine learning to approximate poses in video recordings allows for rapid and efficient analysis of complex behavioral profiles. Currently, there are limited protocols for automated analysis of operant self-administration behavior. We provide methodology to 1) obtain videos of training sessions via Raspberry Pi microcomputers or GoPros 2) obtain pose estimation data using the supervised machine learning software packages DeepLabCut (DLC) and Simple Behavioral Analysis (SimBA) with local high performance computer cluster, 3) comparison of standard MedPC lever response vs quadrant time data generated from pose estimation regions of interest and 4) generation of predictive behavioral classifiers. Overall, we demonstrate proof-of-concept to use pose estimation outputs from DLC to both generate quadrant time results and obtain behavioral classifiers from SimBA during operant training phases.Significance Statement Substance use disorders are comprised of complex behaviors that promote chronic relapse to drug-seeking and -taking. Rodent operant self-administration is commonly used as a preclinical tool to examine drug-taking, -seeking and craving behavior. We provide protocols to acquire videos of self-administration behavior and obtain pose estimation outputs and unique behavioral classifiers using the supervised learning softwares DeepLabCut and Simple Behavioral Analysis (SimBA).

Feasibility of a videoconferencing-based parent-mediated intervention: a mixed-method pilot study.

Autism Spectrum Disorder (ASD) presents early communication and social challenges, necessitating timely and accessible intervention. Pre-school Autism Communication Therapy (PACT), a parent-mediated intervention, empowers parents to facilitate their child's development. However, accessibility issues often hinder families from accessing evidence-based intervention. This pilot study assessed the feasibility of videoconferencing-based PACT as a precursor for a multicenter randomized controlled trial. A mixed-methods approach integrated quantitative retrospective measures and semi-structured interviews. Participants included children diagnosed with ASD who received PACT, and PACT-trained professionals with videoconferencing experience. Feasibility was assessed through audio and video quality, internet stability, and session length. Professionals' experiences were analyzed using a qualitative thematic analysis. Autism severity, parent-child interaction, and therapeutic changes were also described. Nine parent-child dyads and eight PACT therapists were included in the study. Videoconferencing-based PACT intervention proved feasible, with 95.1% of the 41 sessions rated as feasible on the scale. Technical challenges such as audio quality (7.3%) and screen sharing (19.1%) have emerged, which therapists circumvented to maintain intervention quality. Autism severity and parent-child interaction showed positive trends, supported by qualitative findings reporting increased parental confidence and enhanced synchrony. The core components of PACT were successfully adapted to the remote setting. This pilot study suggests that delivering PACT via videoconferencing is a feasible approach to enhance the accessibility of evidence-based interventions for ASD. Larger-scale research with rigorous controls is required to validate these promising findings. An ongoing multicenter randomized trial aims to address this gap.

The Influence of Student–Instructor Communication Methods on Student Engagement and Motivation in Higher Education Online Courses During and After the COVID-19 Pandemic

Effective communication between students and instructors is vital for student success. Traditionally, this communication has taken place in person within classroom settings. However, with technological advancements, online classes have become more common. The COVID-19 pandemic accelerated this shift, significantly disrupting traditional communication methods between students and instructors and transforming the educational landscape, particularly in higher education. We conducted a qualitative narrative literature review of the technological tools that emerged during the pandemic and explored how today’s instructors can effectively use them to enhance student engagement and motivation in online classrooms. The review utilized the SANRA (scale for the assessment of narrative reviews) guidelines to ensure the quality of the studies used. Twenty-two articles published within the last ten years were chosen based on their relevance to higher education and student–instructor communication. The articles were analyzed for effective and ineffective educational communication tools (e.g., Zoom or Google Classroom) utilized during the pandemic, focusing on what worked and what could be improved. The findings revealed that live video sessions were more effective than pre-recorded videos, voice-only sessions, or email/text communications in fostering student engagement and motivation.

Development of a Virtual Reality-Based Environment for Telerehabilitation

The paper presents an innovative virtual reality (VR)-based environment for personalized telerehabilitation programs. This environment integrates a parallel robotic structure designed for the lower limb rehabilitation of patients with neuromotor disabilities and a virtual patient. The robotic structure is controlled via a user interface (UI) that communicates with the VR environment via the TCP/IP protocol. The robotic structure can also be operated using two controllers that communicate with a VR headset via the Bluetooth protocol. Through these two controllers, the therapist demonstrates to the patient various exercises that the robotic system can perform. With the right-hand controller, the therapist guides exercises for the hip and knee, while the left-hand controller manages ankle exercises. The therapist remotely designs a rehabilitation plan for patients at home, defining exercises, interacting with the rehabilitation robot in real-time via the VR headset and the two controllers, and initiating therapy sessions. The user interface allows monitoring of patient progress through video feedback, electromyography (EMG) sensors, and session recording.

Effectiveness of a video-assisted teaching program on menstrual cup usage among women (18-45 years age group) in selected colleges of Patna.

Menstrual cups are a sustainable alternative to traditional menstrual products, yet their usage remains low in many regions. In India, only 0.3% of women use menstrual cups, representing a lack of knowledge and a negative attitude towards the use of menstrual cups. This study aimed to promote menstrual cup usage and develop the right attitude among women (18-45 years old) in selected colleges in Patna. One group pre-test-post-test quasi-experimental study was conducted in selected colleges in Patna with a nonrandomized convenient sampling technique employed to select 100 participants. The intervention consisted of a 30-minute video session on menstrual cup usage, and a structured questionnaire administered pre- and post-intervention to assess knowledge and attitudes. Post-intervention analysis showed a significant increase in knowledge and positive attitudes towards menstrual cup usage. The video-assisted teaching program was found effective in enhancing knowledge regarding menstrual cup usage, as evidenced by the mean knowledge score, which improved from 7.25 + 1.89 to 8.40 + 1.43, as well as the attitude mean score, which improved from 32.14 + 8.50 to 33.91 + 7.88. The video-assisted teaching program effectively enhanced knowledge and positively influenced attitudes toward menstrual cup usage among women in the targeted age group. This suggests that similar educational interventions could be beneficial in promoting sustainable menstrual hygiene practices. Many participants suggested that if it is added through government schemes, it will be more valuable in promoting the adoption of menstrual cups among women.

The Effect of Telerehabilitation-Based Self-Management Programme on Individuals With Scleroderma.

Our study endeavoured to develop an online self-management programme facilitated by an interdisciplinary team and to assess its impact on the quality of life, sleep patterns, pain perception, and fatigue levels among individuals diagnosed with scleroderma. Twenty-nine individuals with scleroderma completed the programme. The study spanned 8weeks during which participants received weekly 45-min video sessions. Assessment tools included the Scleroderma Health Assessment Questionnaire (SHAQ) for disease severity and pain intensity, the Self-Efficacy Scale for Chronic Disease Patients for self-management evaluation, the Pittsburgh Sleep Quality Index (PSQI) for assessing sleep quality, the Fatigue Severity Scale for measuring fatigue severity, and the Short Form-12 Quality of Life Scale (SF-12) for evaluating quality of life. Self-management score increased significantly, while fatigue score decreased significantly. Feedback from participants indicated a positive perception of the programme and its content, suggesting its usefulness in managing their condition. Feedback from participants indicated a positive perception of the programme and its content, suggesting its usefulness in managing their condition. The self-management programme, developed collaboratively by an interdisciplinary team and implemented via telerehabilitation, yielded beneficial outcomes concerning self-management skills and fatigue severity among individuals with scleroderma. Strengthening the interdisciplinary composition of the study team by incorporating diverse healthcare professionals may enhance future investigations. Additionally, we advocate for the repetition of the study employing randomised methodologies and implementing long-term follow-up assessments to further elucidate the programme's efficacy and sustainability over time.

Novel indigenous low cost (NICA) model for hands on training of surgical interns in incision and drainage procedure for superficial skin abscess

BackgroundSurgical education necessitates hands-on training, which poses ethical challenges when practicing on real patients. Simulation training emerges as a pivotal solution, offering a safe and effective environment for skill acquisition. However, existing simulation models often overlook common surgical conditions like superficial skin abscesses. The National Medical Commission advocates for simulation-based training in basic surgical skills, highlighting the need for accessible and cost-effective models. Thus, this study aimed to develop and evaluate a novel Indigenous Cost-effective model for Incision & Drainage (NICA) of subcutaneous abscesses, addressing the gap in surgical education.MethodologyFollowing institutional ethics clearance, the study employed Kern’s Six-step approach for curriculum development. The NICA model was conceptualized and crafted using locally available, low-cost materials, validated by expert opinion, and implemented in a simulation lab setting. A total of 155 surgical interns underwent training, consisting of didactic video sessions, hands-on practice with the NICA model, and structured assessments. Pre- and post-training evaluations were conducted to measure interns’ performance and feedback.ResultsExpert validation confirmed NICA model’s fidelity and usefulness. Training 155 surgical interns resulted in significant skill improvements. Pre-training, 33% correctly performed pre-procedural requisites, 46% executed procedural techniques, and 48% performed post-procedural steps accurately. Post-training, these percentages surged to 95%, 97%, and 98%, respectively. Post test score showed significant skill enhancements across all domains (p < 0.05). Intern feedback highlighted increased confidence, satisfaction, and interest in learning, affirming NICA model’s effectiveness.ConclusionThe development and implementation of the NICA model offer a scalable and cost-effective solution for surgical training in resource-limited settings. The model’s effectiveness in enhancing interns’ skills and confidence underscores its potential to address training needs effectively. The study highlights the significance of simulation-based training in surgical education and advocates for the widespread adoption of indigenous low-cost models to improve surgical skills acquisition.

Preliminary Feasibility of a Novel Mind-Body Program to Prevent Persistent Concussion Symptoms Among Young Adults With Anxiety: Nonrandomized Open Pilot Study.

Concussions are common, particularly among young adults, and often are associated with persistent, debilitating, and hard-to-treat symptoms. Anxiety and concussion symptoms often amplify each other, and growing evidence indicates that anxiety plays a key role in symptoms persistence after concussion. Targeting anxiety early after concussion may be a promising means of helping prevent persistent concussion symptoms in this population. We developed the Toolkit for Optimal Recovery after Concussion (TOR-C), the first mind-body program tailored for young adults with a recent concussion and anxiety, aiming to prevent persistent concussion symptoms. This study aims to conduct an open pilot of TOR-C to test preliminary feasibility, signal of change in measures, and treatment perceptions. Five young adults (aged 18-24 years) attended 4 weekly one-on-one live video sessions with a clinician. Participants completed questionnaires measuring treatment targets (ie, pain catastrophizing, mindfulness, fear avoidance, limiting behaviors, and all-or-nothing behaviors) and outcomes (ie, postconcussive symptoms, physical function, anxiety, depression, and pain) at baseline, immediately following the intervention, and 3 months after intervention completion. At the conclusion of the program, participants attended a qualitative interview and provided feedback about the program to help optimize study content and procedures. Feasibility markers were excellent for credibility and expectancy (5/5, 100% of participants scored above the credibility and expectancy scale midpoint), client satisfaction (4/5, 80% of participants scored above the Client Satisfaction Questionnaire midpoint), therapist adherence (97% adherence), acceptability of treatment (5/5, 100% of participants attended 3 or more sessions), adherence to homework (87% home practice completion), and feasibility of assessments (no measures fully missing). The feasibility of recruitment was good (5/7, 71% of eligible participants agreed to participate). There were preliminary signals of improvements from pre-post comparisons in treatment targets (d=0.72-2.20) and outcomes (d=0.41-1.38), which were sustained after 3 months (d=0.38-2.74 and d=0.71-1.63 respectively). Exit interviews indicated overall positive perceptions of skills and highlighted barriers (eg, busyness) and facilitators (eg, accountability) to engagement. TOR-C shows preliminary feasibility, is associated with a signal of improvement in treatment targets and outcomes, and has the potential to support recovery from concussion. The quantitative findings along with the qualitative feedback obtained from the exit interviews will help optimize TOR-C in preparation for an upcoming randomized controlled trial of TOR-C versus an active control condition of health education for concussion recovery. RR2-10.2196/25746.

Spatial adaptation in children with autism - A study based on behavioural dynamic video data

Children with autism show unique behavioural patterns and sensitivity to spatial elements; therefore, size and furniture arrangement at rehabilitation facilities can affect behaviour. In this study, spatial adaptation during three situations (learning, playing with toys, and finding objects) was evaluated for different spatial sizes in children with autism using video data. In particular, 330 videos of training sessions involving 15 boys with autism aged 4–6 years in spaces classified as training space (large, medium, and small) and immediate surroundings (activity areas and hallways) were evaluated. Skeletal data were acquired using AI motion capture technology and transformed into movement volume and positions using Grasshopper. Differences between children with autism in normal and aggressive states in different spaces were analyzed. The movement of volume increased in all space sizes during the aggressive state, especially in large spaces. In large spaces, the movement volume during learning was significantly larger, but object-seeking was significantly smaller in the aggressive state than in the normal state. In the immediate surrounding, the volume of movement varied significantly across behavioural states. Additionally, compared with the normal state, the movement location of children with autism in the aggressive state were more dispersed. The movement of location for learning, activity area and hallway were closer to the wall. Playing with toys and finding objects overlapped more with the furniture. This study provides a basis for the spatial adaptation of intervention services for children with autism and a reference for comparisons with current design standards.

Assessing the efficacy of an educational video on stroke knowledge in Lebanon: a single-arm interventional study

ObjectiveThis study aimed to assess the public’s knowledge of stroke before and after viewing an educational video about stroke risk factors, preventive measures, and alarming signs.MethodsA single-arm interventional study was conducted in Lebanon using a 3-minute video-based education about stroke. A pre- and post-structured questionnaire compared the level of knowledge about stroke.ResultsThe study included 685 participants. Knowledge of stroke, risk factors, warning signs, treatment, and preventive measures significantly increased post-educational video sessions. A higher baseline knowledge score was associated with a family history of stroke (Beta = 1.76) and being a healthcare professional (Beta = 3.35). Participants between 25 and 34 years (Beta=-1.39) and those with a high risk of stroke (Beta=-1.03) were significantly associated with a lower knowledge score.ConclusionThis study demonstrated the effectiveness of a video-based educational tool to raise awareness about stroke. Short, targeted audio-visual resources using lay language can convey health education messages and influence behavioral changes. The community can benefit from a large-scale educational campaign that targets different socio-economic statuses to enhance knowledge of stroke and save lives.

Clinical Effects of Asynchronous Provider-Guided Practice Sessions During Blended Care Therapy for Anxiety and Depression: Pragmatic Retrospective Cohort Study.

Blended care therapy models are intended to increase the efficiency and effectiveness of evidence-based psychotherapy by combining synchronous and asynchronous components of care. This retrospective cohort study evaluated the clinical effects of synchronous video therapy sessions and asynchronous guided practice session elements on anxiety and depression in a blended care therapy program, with a novel focus on asynchronous provider feedback messages. Participants were adults (N=33,492) with clinical symptoms of anxiety (Generalized Anxiety Disorder 7-item scale [GAD-7] score of ≥8) and depression (Patient Health Questionnaire 9-item scale [PHQ-9] score of ≥10) at intake. Symptom trajectories were evaluated via individual growth curve models. Time-varying covariates evaluated effects of synchronous video session attendance and the presence or absence of each asynchronous guided practice session element occurring within 7 days and 8-14 days prior to each clinical outcome assessment. Guided practice session elements included client digital lesson completion, client digital exercise completion, and feedback messages sent by providers. Approximately 86.6% (29,012/33,492) of clients met criteria for clinical improvement by end of care (median 6, IQR 4-8 synchronous sessions). Synchronous video session attendance and client digital lesson completion in the past 7 days and in the past 8-14 days were each uniquely and significantly associated with lower GAD-7 scores (video session effects: bsession7=-0.82, bsession8-14=-0.58, P values<.001; digital lesson effects: blesson7=-0.18, blesson8-14=-0.26, P values <.001) and PHQ-9 scores (video session effects: bsession7=-0.89, bsession8-14=-0.67, P values <.001; digital lesson effects: blesson7=-0.12, blesson8-14=-0.30, P values <.001). Client digital exercise completion in the past 8-14 days was significantly associated with lower GAD-7 scores (bexercise8-14=-0.10; P<.001) but exercise completion in the 7 days prior to clinical outcome assessment was not (bexercise7=0.00; P=.89). Exercise completion in the past 7 days was significantly associated with lower PHQ-9 scores (bexercise7=-0.16; P<.001) but exercise completion in the past 8-14 days was not (bexercise8-14=-0.05; P=.09). Provider feedback messaging in the past 7 days and in the past 8-14 days was significantly associated with lower GAD-7 and PHQ-9 scores, respectively (GAD-7: bfeedback7=-0.12, P<.001; bfeedback8-14=-0.07, P=.004; PHQ-9: bfeedback7=-0.15, P<.001; bfeedback8-14=-0.08, P=.01). Provider feedback between synchronous therapy sessions provided significant benefit for symptom reduction, beyond the effects of client digital engagement and synchronous video sessions. When guided practice sessions are well integrated into care, blended care therapy provides meaningful improvements upon the traditional, synchronous session-only therapy model. Provider guidance and feedback for clients between synchronous sessions support more efficient and effective mental health care overall.

Addressing rural health disparities by optimizing “high-touch” intervention components in digital obesity treatment: The iREACH Rural study

BackgroundRural residents are more impacted by obesity and related comorbidities than their urban counterparts. Digital weight management interventions may produce meaningful weight loss among rural residents. ObjectivesThe iREACH Rural Study aims to identify “high-touch” component(s) that contribute to meaningful weight loss (≥1.5 kg) at 6-months, over and above what the 24-week core online program produces. Three treatment components are assessed: group video sessions (yes/no); self-monitoring feedback (counselor-crafted/pre-scripted, modular); and individual coaching calls (yes/no). DesignThe iREACH Rural Study is a factorial experiment (n = 616). MethodsParticipants receive up to 3 “high-touch” components (weekly synchronous facilitated group video sessions, weekly counselor-crafted self-monitoring feedback, and individual coaching calls) to determine which contribute meaningfully to 6-month weight loss. Participants complete assessments at baseline, 2 months, 6 months, and 12 months. Weight loss at 6 months (primary outcome) and 12 months (secondary outcome) is measured by Bluetooth-enabled scales. The study seeks to identify the weight loss approach for underserved rural residents which optimizes weight change outcomes and also examines costs associated with delivering different treatment constellations. SummaryThe iREACH Rural Study is the first of its kind to isolate digital weight loss intervention components to determine which meaningfully contribute to long-term weight loss among rural residing individuals. The results may be used to refine digital weight loss programs by enhancing their effectiveness to allow broad dissemination.

Effect of packaging with versus without candy-oriented marketing themes on the appeal and sensory attributes of flavoured e-cigarettes

SignificanceE-cigarettes with candy-themed marketing are implicated in decisions to first try e-cigarettes but have unknown effects on the experience of vaping. We compared adults’ perceived appeal and sensory attributes after...

Author and Spouse/Partner Disclosures Index: Video Sessions

Author and Spouse/Partner Disclosures Index: Video Sessions

Exploring undergraduate students’ connectedness in online learning

In recent years, higher learning institutions have been forced to integrate online learning into their curriculum. However, despite the increasing popularity of online learning, students' engagement and interaction within this environment remain a crucial aspect to explore. This study investigates how connected the students are during their online learning, focusing on teacher-student interaction, comfort level, and social media engagement. The sample comprised 73 undergraduate physics students from the Department of Science Education, University of Ilorin. A researcher-designed questionnaire was used for data collection, and the responses were analysed using frequency, percentages, mean, and standard deviation. The findings revealed that overall, the students were connected to their learning online. It was concluded that the students were highly connected to the online learning mode, particularly in terms of their comfort with the system and interaction with their teacher. However, limitations concerning live interactions, peer collaboration, and focus require attention. It was recommended that educators consider incorporating synchronous elements, such as live video sessions and interactive virtual whiteboards, to enhance real-time engagement and active demonstration of understanding in online classes.

Model of integrated mental health video consultations for people with depression or anxiety in primary care (PROVIDE-C): assessor masked, multicentre, randomised controlled trial

ObjectiveTo evaluate whether an integrated mental health video consultation approach (PROVIDE model) can improve symptoms compared with usual care in adults with depression and anxiety disorders attending primary care.DesignAssessor masked,...

Lessons learned from a multimodal sensor-based eHealth approach for treating pediatric obsessive-compulsive disorder.

The present study investigates the feasibility and usability of a sensor-based eHealth treatment in psychotherapy for pediatric obsessive-compulsive disorder (OCD), and explores the promises and pitfalls of this novel approach. With eHealth interventions, therapy can be delivered in a patient's home environment, leading to a more ecologically valid symptom assessment and access to experts even in rural areas. Furthermore, sensors can help indicate a patient's emotional and physical state during treatment. Finally, using sensors during exposure with response prevention (E/RP) can help individualize therapy and prevent avoidance behavior. In this study, we developed and subsequently evaluated a multimodal sensor-based eHealth intervention during 14 video sessions of cognitive-behavioral therapy (CBT) in 20 patients with OCD aged 12-18. During E/RP, we recorded eye movements and gaze direction via eye trackers, and an ECG chest strap captured heart rate (HR) to identify stress responses. Additionally, motion sensors detected approach and avoidance behavior. The results indicate a promising application of sensor-supported therapy for pediatric OCD, such that the technology was well-accepted by the participants, and the therapeutic relationship was successfully established in the context of internet-based treatment. Patients, their parents, and the therapists all showed high levels of satisfaction with this form of therapy and rated the wearable approach in the home environment as helpful, with fewer OCD symptoms perceived at the end of the treatment. The goal of this study was to gain a better understanding of the psychological and physiological processes that occur in pediatric patients during exposure-based online treatment. In addition, 10 key considerations in preparing and conducting sensor-supported CBT for children and adolescents with OCD are explored at the end of the article. This approach has the potential to overcome limitations in eHealth interventions by allowing the real-time transmission of objective data to therapists, once challenges regarding technical support and hardware and software usability are addressed. www.ClinicalTrials.gov, identifier (NCT05291611).